Technology Enhanced Substance Use and HIV Service Navigation for Sexual and Gender Minority Young Adults Surveilled by the Carceral System

技术增强了监狱系统监控的性少数群体年轻人的药物使用和艾滋病毒服务导航

• 批准号: 10771060
• 负责人: Emily F Dauria
• 金额: $ 10万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10771060
• 关键词: AIDS prevention; Address; Adherence; Administrative Supplement; Adult; Affect; Award; Awareness; Characteristics; Clinical Trials; Community of Practice; Complex; Consolidated Framework for Implementation Research; Continuity of Patient Care; Enhancement Technology; Feedback; Focus Groups; Funding; Future; Goals; HIV; HIV Seropositivity; Healthcare; Heterosexuals; Imprisonment; Improve Access; Individual; Inequity; Intervention; Intervention Studies; Interview; Jail; Lead; Link; Literature; Measures; Mental Health; Modeling; Movement; Outcome; Parents; Participant; Patient Self-Report; Persons; Population; Prevention strategy; Prisons; Process; Publishing; Research; Risk; Services; Sexual Health; Sexual and Gender Minorities; Structure; Subgroup; Substance Use Disorder; System; Technology; Testing; Time; Trust; United States; Work; acceptability and feasibility; barrier to care; behavioral health; behavioral health intervention; cisgender; disorder prevention; disparity reduction; eHealth; effective intervention; efficacy testing; experience; gender minority; gender minority group; health care availability; high risk; implementation process; improved; informant; innovation; intervention delivery; meetings; minority stress; minority stressor; multidisciplinary; peer; pilot test; pre-exposure prophylaxis; prevention service; preventive intervention; racism; satisfaction; service intervention; sexual minority; social; social stigma; study population; substance use; substance use treatment; theories; treatment services; uptake; young adult

Project Summary/Abstract There is a strong scientific premise for the study of integrated substance use disorders (SUDs) and HIV- prevention interventions for individuals surveilled by the carceral system (CS). SUDs lead to increased rates of CS involvement as well as increased risk for HIV-acquisition. Estimates of the proportion of the CS-involved population with a SUD reach 72%, and ~150,000 persons with HIV pass through a detention facility annually. Individuals with a self-reported sexual or gender minority (SGM) identity are overrepresented in the CS, and experience well established HIV and substance use inequities. Although pre-exposure prophylaxis (PrEP) is a proven effective intervention for HIV-prevention, its maximal impact depends on uptake, and adherence among those at high risk. To date, few published studies have examined substance use treatment and HIV-prevention uptake among CS-involved populations, including among SGM adults. Peer-led navigation interventions have demonstrated efficacy in building trust and reducing barriers to healthcare engagement, and hold strong potential to address multiple, and complex barriers to treatment and HIV-prevention linkage for SGMYA surveilled by the CS. eHealth approaches to SUD and HIV prevention also hold promise because they improve access to effective intervention services, particularly for SGM groups and younger people. As a multidisciplinary team with expertise in behavioral health (substance use, mental health, HIV prevention), SGM and CS involved adults, and eHealth enhanced and navigator-led behavioral health interventions, we propose to address notable gaps in the literature by expanding the aims of our parent award to examine the feasibility and acceptability of an eHealth enhanced navigator-led SUD and HIV-prevention referral and linkage intervention for SGMYA surveilled by the CS. Study aims are to: 1) Tailor the content and structure of an eHealth technology-supported navigation intervention for substance use treatment and HIV-prevention (PrEP) services to the unique needs of SGMYA (18 to 29 years) surveilled by the CS; 2) Refine and test the tailored eHealth enhanced, navigator-led substance use treatment and HIV prevention (PrEP) intervention for SGMYA surveilled by the CS, for appropriateness, satisfaction, and fidelity. This administrative supplement appropriately expands the scope of the parent award and will directly inform a future R01 clinical trial study to test the efficacy of the eHealth enhanced navigation intervention for improving uptake of substance use treatment and HIV prevention services for SGMYA impacted by the CS.

项目总结/摘要 综合药物使用障碍（SUD）和艾滋病毒的研究有一个强有力的科学前提- 对受监狱系统（CS）监督的个人进行预防干预。SUD导致 CS参与以及增加艾滋病毒感染的风险。参与CS的比例估计 患有SUD的人口达到72%，每年约有150，000名艾滋病毒感染者通过拘留设施。 具有自我报告的性或性别少数（SGM）身份的个人在CS中所占比例过高， 艾滋病毒和药物使用方面的不公平现象已得到公认。尽管暴露前预防（PrEP）是一种 已被证明是预防艾滋病毒的有效干预措施，其最大影响取决于接受和坚持， 高风险的人。迄今为止，很少有已发表的研究审查了物质使用治疗和艾滋病毒预防 在涉及CS的人群中，包括SGM成人中的吸收。同行领导的导航干预措施 在建立信任和减少医疗保健参与障碍方面表现出有效性，并具有强大的潜力 解决多重和复杂的障碍，治疗和艾滋病毒预防的联系，为SGMYA监督， CS.针对SUD和艾滋病毒预防的电子卫生方法也有希望，因为它们改善了获得有效治疗的机会。 干预服务，特别是针对SGM群体和年轻人。作为一个多学科的团队， 在行为健康（物质使用、心理健康、艾滋病毒预防）方面，SGM和CS涉及成年人， 增强和导航员主导的行为健康干预措施，我们建议解决文献中的显着差距 通过扩大我们的家长奖的目的，以审查电子健康增强的可行性和可接受性， 导航员主导的可持续发展和艾滋病毒预防转诊以及由CS监督的SGMYA的联系干预。研究 目标是：1）定制电子健康技术支持的导航干预的内容和结构， 物质使用治疗和艾滋病毒预防（PrEP）服务，以满足SGMYA的独特需求（18至29岁） 由CS监督; 2）完善和测试量身定制的电子健康增强型导航仪引导的物质使用治疗 和艾滋病毒预防（PrEP）干预的适当性，满意度， 忠诚这一行政补充适当扩大了父母奖励的范围，并将直接 通知未来的R 01临床试验研究，以测试电子健康增强导航干预的有效性， 改善受社区服务影响的SGMYA对药物使用治疗和艾滋病毒预防服务的接受情况。